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Vermont rates for HCPCS J3095

Telavancin Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $12.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.05 / $8.05 / $8.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $8.02 / $13.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $8.02 / $13.38
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $7.11 / $9.08